| Dental Professionals, Plc | |
|
200 N B St Indianola IA 50125-2429 | |
| (515) 961-8411 | |
| (515) 962-1810 |
| Full Name | Dental Professionals, Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 N B St, Indianola, Iowa |
| Authorized Official Name and Position | Gary L Jacobsen (PRESIDENT) |
| Authorized Official Contact | 5159618411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals, Plc 200 N B St Indianola IA 50125-2429 Ph: (515) 961-8411 | Dental Professionals, Plc 200 N B St Indianola IA 50125-2429 Ph: (515) 961-8411 |
| NPI Number | 1780851972 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780851972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07648J (Iowa) | Primary |
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